Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD422829 | PA |
NPI | 1043306343 |
---|---|
Provider Name | Gretchen Perilli |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 01/03/2016 |